JESSICA COLLEEN MANGONON (NPI# 1962769968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962769968 |
| Entity Type | Individual |
| Full Name | JESSICA COLLEEN MANGONON |
| Credential | M.D. |
| Practice Address |
16300 Sand Canyon Ave #811 Irvine CA 92618-3711 |
| Practice Telephone | 9497539000 |
| Practice Fax Number | 9497535044 |
| Mailing Telephone | 9497539000 |
| Mailing Fax Number | 9497535044 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2017-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A128287 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
16300 SAND CANYON AVE #811 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775971 | Anh T Dinh | Family Medicine | 16300 Sand Canyon Ave, 4th Floor, Irvine, CA 92618-3711 | 2005-10-27 |
| 1942846787 | Helen Ning Liu | Nurse Practitioner | 16300 Sand Canyon Ave, Irvine, CA 92618-3711 | 2019-11-26 |
| 1750743969 | Wei Wang | Internal Medicine | 16300 Sand Canyon Ave, Irvine, CA 92618-3711 | 2016-03-26 |
| 1356748602 | Robert A Baird Md Incorporated | Orthopaedic Surgery | 16300 Sand Canyon Ave, Suite 511, Irvine, CA 92618-3711 | 2014-12-02 |
| 1801222591 | California Therapy Solutions | Specialist | 16300 Sand Canyon Ave, Suite 401, Irvine, CA 92618-3711 | 2013-09-25 |
| 1124466313 | Newport Beach Ob/gyn Medical Group | Obstetrics & Gynecology | 16300 Sand Canyon Ave, Suite 301, Irvine, CA 92618-3711 | 2013-06-10 |
| 1619314630 | Mona Goodarzi Dds Dental Corporation | Dentist | 16300 Sand Canyon Ave, Suite 506, Irvine, CA 92618-3711 | 2013-05-30 |
| 1801239314 | Charles D. Hasse, D.d.s., Inc. | Clinic/Center | 16300 Sand Canyon Ave, Suite 711, Irvine, CA 92618-3711 | 2013-04-15 |
| 1629317995 | Personalcare Physicians of Irvine | Family Medicine | 16300 Sand Canyon Ave, Suite 209, Irvine, CA 92618-3711 | 2013-02-06 |
| 1417227802 | Alexis D Furze Md Inc | Otolaryngology | 16300 Sand Canyon Ave, Suite 201, Irvine, CA 92618-3711 | 2012-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224738 | Nicholas David Jacobson | Pediatrics | 176 Santa Louisa, Irvine, CA 92606-8855 | 2015-05-18 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1891024766 | Christine Peng | Pediatrics | 19 Spring Buck, Irvine, CA 92614-7431 | 2009-12-23 |
| 1518196328 | Cheryl Lempert-cohen | Pediatrics | 19512 Sierra Seco Rd, Irvine, CA 92603-3837 | 2009-07-14 |
| 1124264742 | Renee Stein | Pediatrics | 81 Linhaven, Irvine, CA 92602-0780 | 2009-01-02 |
| 1336335322 | Armand Widjaja | Pediatrics | 250 E Yale Loop Ste 200, Irvine, CA 92604-4697 | 2007-09-24 |
| 1598957458 | Hea In Cha | Pediatrics | 533 Cantor, Irvine, CA 92620-3842 | 2007-08-15 |
| 1790999795 | Aarathi Rangachar | Pediatrics | 4870 Barranca Pkwy Ste 300, Irvine, CA 92604 | 2007-05-09 |
| 1285858274 | Ji Yon Han | Pediatrics | 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334 | 2007-04-12 |
| 1700901139 | Chih-kuan Wang | Pediatrics | 16300 Sand Canyon Ave Ste 811, Irvine, CA 92618-3708 | 2007-03-21 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.